Rates and Insurance
Because of the restrictions and limitations of insurance, I am out of network with ALL insurance companies. Physical therapy clinics are trending towards treating higher volumes of patients, often splitting multiple patients at a time between one therapist. Many clinics will only offer 15 minutes or less of 1-on-1 with a licensed physical therapist and the rest of the time is spent with therapy assistants or techs that do not have a degree in physical therapy. This is NOT how physical therapy should be performed!
As an out of network provider, you have the opportunity to receive 1-on-1 care for the entirety of your sessions with myself, a licensed Doctor of Physical Therapy and Board Certified in Orthopedics. Because of the constant changes in insurance, they are making it harder to accomplish this. They are reimbursing less and requiring more paperwork which takes away from the time I get to spend with you. If you have been in physical therapy, there is a good chance that you have been treated at the same time as other patients and likely treated by a physical therapy assistant or even tech. I have had jobs where I feel as though I am spending the session documenting instead of providing the attention the patient deserves.
I am not restricted by treatment visits, therapy caps, or prior authorizations. Because of this personalized, private treatment, I can spend more time on you. This often leads to superior care and quicker recovery.
I want to HELP YOU reach YOUR goals. This is not easily accomplished with insurance as they are constantly restricting how many visits and what I am able to perform during our treatment sessions. Insurance will easily deny YOU for the simplest things. My patients have access to my phone or email at anytime, and I am happy to discuss any questions or concerns you have.
I believe this model is the future of physical therapy, as the current insurance model is not sustainable. Each year insurance companies charge more but reimburse providers less. As a result, therapists are required to treat more patients daily. I want to focus solely on you and not the insurance companies. I believe this helps me provide better care and allows you to heal faster. As patients become more educated about the unattainable costs of insurance, they will actively seek the highest quality of care. If you have further questions, I am happy to discuss with you.
The following are acceptable modes of payment:
- Health Savings Account (HSA) cards*
- Flexible Spending Account (FSA) cards*
- Zelle transfers through Chase Quickpay
- All major credit cards
*Many clients prefer to use HSA or FSA cards for Physical Therapy as these utilize pre-tax dollars, providing a significant net savings.
For all treatments, the rate will be $175 for a one hour session which includes evaluation, a detailed explanation of your diagnosis and how to treat it appropriately, hands on manual treatment including Graston and/or Dry Needling, and a detailed exercise program and handout individualized on what you need to return to doing what you enjoy.
Traditional Physical Therapy
Traditional physical therapy typically requires seeing patients 2-3 times a week for 4-6 weeks. That is anywhere from 8-18 visits if everything goes to plan! With the rising costs of healthcare, most companies are switching to higher deductible plans which require significant out of pocket costs before your insurance company will cover anything. Co-pays are also rising at ridiculous rates. If you have a $50 co-pay and are expected to come to physical therapy 3 times a week, you will pay the same amount per week seeing me; however, you will have increased sunk costs with gas, travel time, and having to constantly change your schedule to visit treatments in.
If you call your local physical therapy clinic, it is very difficult to get an answer on what your visit will cost. There is no transparency in healthcare costs which makes absolutely no sense! You don’t go into a grocery store where there are no prices, buy your groceries, and get told at the check out line that I will bill you later but have no idea what it is going to cost. How can I expect that with health care? I have found that people often save time and money by paying out of network costs for PT.
Can I get reimbursed from my insurance company?
In most cases, the answer is YES! For most insurance companies, you will have an out of network deductible. You can typically find a claim form on your insurance company’s website. Simply print it out and submit it along with the receipt and bill that I provide for you. This is entirely dependent on your Out-of-network costs and there is more information on this in the FAQ section.
Ask about availability and cost. I understand you may have questions on the cost and availability of PT for you. Please complete this form and I will answer any questions you have and will help to explain the value I can provide to you and your body.